Individual provider Active NPI

Dharminkumar H Bidja

  • Pharmacist
  • Saginaw, MI
National Provider Identifier
1922124247
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302036604 Issued in MI
Practice address
531 W Genesee Ave
Saginaw, MI 48602-5515
Phone
(989) 753-2447
Fax
(989) 753-8603
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302036604 MI Primary

Addresses

Primary practice location

531 W Genesee Ave
Saginaw, MI 48602-5515

Mailing address

3079 Shattuck Arms Blvd
Apt # 11
Saginaw, MI 48603-6809
Phone (717) 542-9575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5302036604MIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922124247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 SHATTUCK ARMS BLVD",
            "address_2": "APT # 11",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486036809",
            "telephone_number": "717-542-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W GENESEE AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025515",
            "telephone_number": "989-753-2447",
            "fax_number": "989-753-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDJA",
        "first_name": "DHARMINKUMAR",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.